Per Visit Admissions Nurse (RN)- Home Hospice

Stella Maris•Lutherville, MD

23d

About The Position

Stella Maris Home Health is hiring a Per Visit-Admissions Nurse (RN) to perform home hospice start-of-care visits for clients in territories throughout Baltimore County and Baltimore City. Home hospice experience is required. The position is PRN/flex/as-needed, with a flexible schedule and per-visit pay. The listed per-visit rate is $60 ($80 on weekends), and the start-of-care visit rate is $175 ($250 on weekends); additional rates apply for specialty visits. The stated hourly salary range is $36.25 to $55.80. Compensation decisions consider internal equity, role scope, and market data; most new hires are typically placed in the lower to mid-portion of the range, with offers above that level reserved for candidates with advanced or highly specialized qualifications. The nurse provides primary nursing care to assigned home care patients under the supervision of the assigned RN Case Manager or Lead RN Case Manager, in compliance with federal and state regulations. The work includes assessment and ongoing care of patients and families, skilled nursing interventions, caregiver teaching and supervision, care coordination, and accurate documentation.

Requirements

Registered Nurse (RN).
Home hospice experience is required.

Responsibilities

Provide primary nursing care to assigned home care patients under the supervision of the assigned RN Case Manager or Lead RN Case Manager and in compliance with federal and state regulations.
Make follow-up visits to assigned patients and use the nursing process of assessment, diagnosis, implementation, and evaluation to provide physical, psychosocial, and spiritual care to patients and families.
Intervene with patients and families in crisis situations and act as a patient advocate.
Perform hands-on skilled care, including changing dressings, catheterizations, drawing blood, changing subcutaneous catheters, administering injectable medications, disimpacting bowels, and other nursing care required during visits.
Maintain communication as needed to revise plans of care and assure quality home care.
Teach and supervise primary caregivers and volunteers in patient care, including pain-control procedures, medications, equipment use, and psychosocial support; evaluate the care they provide.
Coordinate services with social workers, chaplains, therapists, dietitians, home health aides, volunteers, and physicians.
Facilitate continuity of care when a patient is admitted to the hospice inpatient unit by contacting the primary physician, medical director, inpatient nurse, and program director, and providing care plans and medication records to the unit.
Order equipment, supplies, and medications as needed under physician orders, and assure their removal after death or discharge.
Write changes in orders promptly on forms specific to reimbursement sources and record changes in notes, records, and care plans as necessary.
Accurately document follow-up visits and phone calls.
Complete and submit itinerary and mileage forms at least biweekly; complete charge slips for supplies used and submit them to the secretary at least biweekly.
Supervise the home health aide in the patient's home in accordance with federal and state regulations and document the supervision in the patient record.
Complete documentation required by agency standards, regulatory standards, and standards of nursing practice.